ELVERSON DENTAL CARE, LLC (NPI# 1346360765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346360765 |
| Entity Type | Organization |
| Organization Name | ELVERSON DENTAL CARE, LLC |
| Other Organization Name | SCOTT WALLACE DDS, LLC |
| Practice Address |
4101 W. Main Street Elverson PA 19520 |
| Practice Telephone | 6102865841 |
| Practice Fax Number | 6102860161 |
| Mailing Telephone | 6102865841 |
| Mailing Fax Number | 6102860161 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-03-07 |
| Authorized Official Name | JAMES W WOLITARSKY JR. (OWNER) |
| Authorized Official Telephone | 6102865841 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS026093L | PA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Scott Wallace DDS, LLC | Former Legal Business Name - Organization |
| Street Address |
4101 W. MAIN STREET |
| City | ELVERSON |
| State | PA |
| Zip Code | 19520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427280908 | Lee L Ritsick | Counselor | 150 Mine Hole Rd., Elverson, PA 19520 | 2009-08-17 |
| 1043440589 | Andrea Lynn Smith | Dentist | 4225 Main Street, 105 Darby Square, Elverson, PA 19520 | 2009-07-17 |
| 1497902829 | Gina Marie Dattilo | Psychologist | 293 Hopewell Rd, Elverson, PA 19520 | 2008-08-27 |
| 1356524714 | Healthatlantic LLC | Ambulance | 200 Bulltown Rd, Elverson, PA 19520 | 2007-12-08 |
| 1649585704 | Lowe Lowe Parrish | Pharmacist | 320 East Lincoln Highway, Rite Aid Pharmacy, Coatsville, PA 19520 | 2010-08-13 |
| 1619156015 | Barbara Claire Arbaugh | Occupational Therapist | 170 Bollinger Road, Elverson, PA 19520-0246 | 2007-11-01 |
| 1457499360 | Family Medical Center | Family Medicine | 11 South Pine Street, Elverson, PA 19520-0420 | 2007-02-02 |
| 1720396104 | David T Leamer | Counselor | 1640 Hopewell Rd, Elverson, PA 19520-8605 | 2010-09-19 |
| 1063638591 | Amanda S Hurley Roberts | Occupational Therapist | 92 Millard Rd, Elverson, PA 19520-8733 | 2007-04-17 |
| 1356966329 | Christina Marie Russell | Midwife, Lay | 290 Warwick Rd, Elverson, PA 19520-8920 | 2020-06-15 |
| Find all providers in zip 19520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407902257 | Scott W. Wallace | Dentist | 4101 Main St, Elverson, PA 19520-9378 | 2007-01-26 |
| 1326111006 | James William Wolitarsky Jr. | Dentist | 4101 Main St, Elverson, PA 19520-9378 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1669082632 | Nepa Dental Group, Inc | Dentist | 920 Wyoming Ave Ste 104, Forty Fort, PA 18704-3970 | 2020-08-05 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.